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Individual
KATHERINE MADGES
Active
Individual
KATHERINE MADGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
087048
NY
1041C0700X
Clinical Social Worker
Primary
091552
NY
Other
Enumeration date
04/21/2010
Last updated
06/09/2022
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